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[Symptoms] Sore throat & dry mouth/tongue
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BaltimoreBob Offline

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Posts: 4
Joined: Mar 2012

Machine: ResMed S9
Mask Type: Nasal mask
Mask Make & Model: ResMed Activa
Humidifier: ResMed H5i
CPAP Pressure: 12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Baltimore, MD

Post: #1
Sore throat & dry mouth/tongue
I have searched in vain for an answer to my problem. Since I have been successfully using C-pap for more than 20 years I am puzzled by recent developments. Recently I had a new sleep study, during which they found that my pressure needed to be increased from 10 CM/h2o to 18 CM/h2o. I immediately began having painful dry throat and mouth. Doctor reduced pressure to 15CM but does not know what else can be done. I am still having the problem, which I did not have at a pressure of 10CM/h2o. Using Respironics System ONE with humidifier set at 5 (max) and a well fitted Activa mask. Any help/advice would be appreciated.
03-04-2012 03:50 PM
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Ltmedic66 Offline

Preferred Members-2

Posts: 39
Joined: Feb 2012

Machine: F&P Sleepstyle 604
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: Integrated in CPAP
CPAP Pressure: 11
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #2
RE: Sore throat & dry mouth/tongue
(03-04-2012 03:50 PM)BaltimoreBob Wrote:  I have searched in vain for an answer to my problem. Since I have been successfully using C-pap for more than 20 years I am puzzled by recent developments. Recently I had a new sleep study, during which they found that my pressure needed to be increased from 10 CM/h2o to 18 CM/h2o. I immediately began having painful dry throat and mouth. Doctor reduced pressure to 15CM but does not know what else can be done. I am still having the problem, which I did not have at a pressure of 10CM/h2o. Using Respironics System ONE with humidifier set at 5 (max) and a well fitted Activa mask. Any help/advice would be appreciated.

I think one possibility is mouth leak. What you are describing sounds like the issues that occur when the air from CPAP blows out through the mouth over an extended period of time. The increased pressure can increase the chances of mouth leak.
03-04-2012 04:20 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #3
RE: Sore throat & dry mouth/tongue
Hi BaltimoreBob and welcome
Try turn humidity down, may it,s too high.
May be you,re mouth breathing, Try a chinstrap or full face mask
If it,s pressure related may be APAP might be a better option as you might don,t 18 all night long.
What,s the AHI and leak while using setting at 10, 15 and 18.
03-04-2012 04:26 PM
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Steven Offline

Preferred Members-2

Posts: 92
Joined: Feb 2012

Machine: ResMed S9 AutoSet (Mfg 10-18-11 in Aus) (Software Version SX474-0903)
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: ResMed H5i Humidifier (Mfg 11-16-11 in Aus) (Software ID SX496-0212)
CPAP Pressure: APAP 12 - 18 cmH2o
CPAP Software: ResScan

Other Comments: ResMed S9 AutoSet & H5i purch 12-22-11 but were both exchanged 1-31-12 for more recently mfg items

Sex: Male
Location: Southwest USA

Post: #4
RE: Sore throat & dry mouth/tongue
(03-04-2012 04:20 PM)Ltmedic66 Wrote:  
(03-04-2012 03:50 PM)BaltimoreBob Wrote:  I have searched in vain for an answer to my problem. Since I have been successfully using C-pap for more than 20 years I am puzzled by recent developments. Recently I had a new sleep study, during which they found that my pressure needed to be increased from 10 CM/h2o to 18 CM/h2o. I immediately began having painful dry throat and mouth. Doctor reduced pressure to 15CM but does not know what else can be done. I am still having the problem, which I did not have at a pressure of 10CM/h2o. Using Respironics System ONE with humidifier set at 5 (max) and a well fitted Activa mask. Any help/advice would be appreciated.

I think one possibility is mouth leak. What you are describing sounds like the issues that occur when the air from CPAP blows out through the mouth over an extended period of time. The increased pressure can increase the chances of mouth leak.

I agree wth Ltmedic66.
The increased pressure is causing air to be leaking out of your mouth.

I would consider trying a chinstrap.

The other option is to switch to a full face mask, but remember that breathing through your nose is the most natural & best way. See this: http://www.apneaboard.com/forums/Thread-Un-stuffing-Your-Stuffy-Nose

Using a full face mask will only encourage further mouth breathing.

Besides, full face masks are notorious for leaking, although some people never seem to have a problem.

Using the ResMed Mirage SoftGel Nasal Mask with a chinstrap

I do not use either the Ramp nor the EPR Comfort features

Have been on CPAP since December 1998

This is my 3rd machine

I use the ResMed ResScan Software (Version 3.16)
(This post was last modified: 03-04-2012 04:30 PM by Steven.)
03-04-2012 04:28 PM
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sailor4you Offline

Members

Posts: 10
Joined: Mar 2012

Machine: ResMed S9
Mask Type: Full face mask
Mask Make & Model: Forma
Humidifier: ResMed H5i
CPAP Pressure: 16/20
CPAP Software: ResScan

Other Comments: Fisher & Paykel FlexiFit 431 Full Face Mask

Sex: Male
Location: Sanford, North Carolina

Post: #5
RE: Sore throat & dry mouth/tongue
Bob,

I tried a nasel mask and didn't like it. Air kept escaping from the mouth even with the chin strap. My BiPap pressure was 21/25 and now lowered to 16/20. Later I found that nasel masks are for under 15 rating. My nose started bleeding after a couple of days with my high pressure.
I now use a Fisher & Paykel Flexifit 431 Full Face Mask. The silicone cushion has a tab that fits UNDER the chin and seems to help keep the mask from "Riding-Up" while keeping my mouth closed. Other masks fit in the area between the lower lip and the chin.
03-04-2012 04:55 PM
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BaltimoreBob Offline

Members

Posts: 4
Joined: Mar 2012

Machine: ResMed S9
Mask Type: Nasal mask
Mask Make & Model: ResMed Activa
Humidifier: ResMed H5i
CPAP Pressure: 12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Baltimore, MD

Post: #6
RE: Sore throat & dry mouth/tongue
(03-04-2012 04:55 PM)sailor4you Wrote:  Bob,

I tried a nasel mask and didn't like it. Air kept escaping from the mouth even with the chin strap. My BiPap pressure was 21/25 and now lowered to 16/20. Later I found that nasel masks are for under 15 rating. My nose started bleeding after a couple of days with my high pressure.
I now use a Fisher & Paykel Flexifit 431 Full Face Mask. The silicone cushion has a tab that fits UNDER the chin and seems to help keep the mask from "Riding-Up" while keeping my mouth closed. Other masks fit in the area between the lower lip and the chin.

Thank you Sailor. I really appreciate the time that you took to tell me this valuable information. I will be having a discussion with my Doc tomorrow so he can Rx a different mask.
Best to you,
BaltimoreBob
03-04-2012 08:59 PM
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trish6hundred Offline

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Posts: 6,449
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #7
RE: Sore throat & dry mouth/tongue
Hi BaltimoreBob, Welcome! to the forum. Did you notice any problems before theyraised your pressure from 10 to 18, that soundslike a pretty big jump all at once. If you were doing okay at 10, it sounds like something was fixed, so they had to break it, (Ha-Ha-Ha-Ha,) just joking of course, (Ha-Ha.) Anyway,Best of luck to you.

trish6hundred
07-07-2012 05:04 PM
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zimlich Offline

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Posts: 392
Joined: Feb 2012

Machine: Respironics PR System One BiPap Auto SV Advanced
Mask Type: Nasal mask
Mask Make & Model: ResMed gel Nasal Mask
Humidifier: System One
CPAP Pressure: 8-20 ASV, 8 EPAP,PS 12
CPAP Software: Not using software

Other Comments: I use the Quattro FFM when necessary

Sex: Female
Location: Norfolk, VA

Post: #8
RE: Sore throat & dry mouth/tongue
BaltimoreBob, that is a huge jump in pressure. There are dental products on the market for dry mouth which may help. The only brand I know of is Biotene. A friend of mine uses the gel. He takes a dab of it and carefully with the tip of his tongue he places it behind his front teeth and leaves it there to dissolve over night. I would use everything- the toothpaste, mouthqwash, and gel. I am not affiliated with the company.
07-10-2012 07:03 AM
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